Individual
DR. KAUSHIKI UPPALAPATI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
11023 SE 240TH ST UNIT H1, KENT, WA 98031-4906
(253) 487-9010
Mailing address
11023 SE 240TH ST UNIT H1, KENT, WA 98031-4906
(253) 487-9010
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DE61175667
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DE61175667
WASHINGTON STATE DENTIST LICENSE NUMBER
WA
Enumeration date
05/24/2021
Last updated
05/25/2021
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